8490298
Description
Mind Map by Noree Alii, updated more than 1 year ago
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Created by Noree Alii
over 7 years ago
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Janice’s Painful Knee
- Anatomy of knee
joint
- Bones
- Femur, tibia, and patella
- Femur, tibia, and patella
- Ligaments
- Extra- capsular
- LCL, MCL, Oblique
popliteal
- LCL, MCL, Oblique
popliteal
- Intra-capsular
- ACL, PCL, Transverse,
Posterior
meniscofemoral
- ACL, PCL, Transverse,
Posterior
meniscofemoral
- Extra- capsular
- Menisci
- Medial and lateral
- Medial and lateral
- Blood supply
- Anastomosis of the Knee joint
- Formed by 10 branches
- Formed by 10 branches
- Anastomosis of the Knee joint
- Bursa
- Bones
- Structure of
cartilage
- Cells
- Chondroblasts + Chondrocytes
- Chondroblasts + Chondrocytes
- Matrix
- Ground substance +
elastic and collagen fibres
- Ground substance +
elastic and collagen fibres
- Types
- Hyaline cartilage
- collagen and elastic fibres
are present in equal
amounts
- Supports and reinforces
- Found in: fatal skeleton,
articular surfaces, costal
cartilage, and cartilage of
nose, trachea, and larynx
- Found in: fatal skeleton,
articular surfaces, costal
cartilage, and cartilage of
nose, trachea, and larynx
- Supports and reinforces
- collagen and elastic fibres
are present in equal
amounts
- Elastic cartilage
- elastic fibres are present in
large amounts
- maintains shape and allows
flexibility
- Found in: external ear and
epiglottis
- Found in: external ear and
epiglottis
- maintains shape and allows
flexibility
- elastic fibres are present in
large amounts
- Fibrocartilage
- collagen fibres are present in
large amounts
- strength and ability to absorb
compressive shock
- Found in:
Intervertebral discs
Pubic symphysis
Menisci
- Found in:
Intervertebral discs
Pubic symphysis
Menisci
- strength and ability to absorb
compressive shock
- collagen fibres are present in
large amounts
- Hyaline cartilage
- Cells
- Osteoarthritis
- Risk factors
- Age/sex, disease,
genetics,
occupation, injury,
weight, and muscle
weakness
- Age/sex, disease,
genetics,
occupation, injury,
weight, and muscle
weakness
- Clinical presentation
- pain, stiffness, swelling,
tenderness, and
crepitus
- pain, stiffness, swelling,
tenderness, and
crepitus
- Pathogenesis
- trauma of genetic factors
- damage to articular cartilage or
failure of abnormal cartilage
under normal joint loading
- increase water in joint space
- Erotion
- Eburnation
- Bone cysts,
osteophytes, sclerosis,
and joint space
narrowing
- Bone cysts,
osteophytes, sclerosis,
and joint space
narrowing
- Eburnation
- Erotion
- increase water in joint space
- damage to articular cartilage or
failure of abnormal cartilage
under normal joint loading
- trauma of genetic factors
- Treatment
- 1st line:
- Therapy: Physical therapy,
occupational therapy, Tai
chi yoga
- Therapy: Physical therapy,
occupational therapy, Tai
chi yoga
- 2nd line:
- Medications:
Acetaminophen,
duloxetine, NSAID
- Glucosamine
- one of cartilage building blocks
- given as supplementation in
osteoarthritis
- given as supplementation in
osteoarthritis
- Contraindications:
- patients with shellfish allergy,
Pregnant women,
Cardiovascular disease,
Impaired glucose tolerance
- patients with shellfish allergy,
Pregnant women,
Cardiovascular disease,
Impaired glucose tolerance
- one of cartilage building blocks
- Glucosamine
- Medications:
Acetaminophen,
duloxetine, NSAID
- 3rd line:
- Surgeries: Cortisone injection,
Joint replacement, Realigning
bones, Lubrication injection
- Surgeries: Cortisone injection,
Joint replacement, Realigning
bones, Lubrication injection
- 1st line:
- Diagnosis
- Arthrocentesis,
x-ray,
blood
test,
MRI
- Arthrocentesis,
x-ray,
blood
test,
MRI
- Complications
- Reduced mobility,
stress fractures,
pinched nerve,
osteonecrosis,
chondrolysis
- Reduced mobility,
stress fractures,
pinched nerve,
osteonecrosis,
chondrolysis
- Risk factors
- Types of Arthritis and
diagnostic tests
- Rheumatoid arthritis
- rheumatoid factor and
anti-CCP antibodies.
- rheumatoid factor and
anti-CCP antibodies.
- Fibromyalgia
- Blood test (FM/a )
- Blood test (FM/a )
- Psoriatic arthritis
- Close to gout and rheumatoid
arthritis
- Close to gout and rheumatoid
arthritis
- Gout
- joint fluid analysis for uric acid crystals
- joint fluid analysis for uric acid crystals
- Septic arthritis
- Joint fluid analysis
- Joint fluid analysis
- Systemic lupus erythematosus
- Erythrocyte sedimentation
rate, Kidney and liver
assessment or biopsy,
Urinalysis,
- Erythrocyte sedimentation
rate, Kidney and liver
assessment or biopsy,
Urinalysis,
- Ankylosing Spondylitis
- Reactive arthiritis
- Joint fluid tests (White blood cell count,
Infections)
- Joint fluid tests (White blood cell count,
Infections)
- Rheumatoid arthritis
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